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NPI Code Detail

MEDICARE: ARLENE COLEMAN M.A., CCC-SLP

MEDICARE: ARLENE COLEMAN M.A., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146.017671IL

General Provider Information

NPI Number : 1912688961
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE COLEMAN M.A., CCC-SLP
Provider Business Mailing Address
First Line : 10458 LYNN DR
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-8969
Country : US
Telephone Number : 708-606-3128
Fax Number :
Provider Business Practice Location Address
First Line : 2833 N CLYBOURN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-8470
Country : US
Telephone Number : 847-604-0027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 08/13/2024

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Directions to “ ARLENE COLEMAN M.A., CCC-SLP” Practice Location

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